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LA CLINICA SCHOOL- BASED HEALTH CENTER AT PATRICK ELEMENTARY SCHOOL
NPI 1730663790
Clinic/Center - Federally Qualified Health Center (FQHC) in Gold Hill, OR

Active since September 17, 2018
1500 2ND AVE, GOLD HILL, OR 97525(541) 494-6818(541) 494-6816 Get Directions Write a Review

NPPES record last updated: July 15, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 15, 2019, Sep 17, 2018 (2 updates tracked since 2018).

About La Clinica School- Based Health Center At Patrick Elementary School NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LA CLINICA SCHOOL- BASED HEALTH CENTER AT PATRICK ELEMENTARY SCHOOL (NPI 1730663790) is a healthcare organization registered as a federally qualified health center (fqhc) in Gold Hill, Oregon and active in the NPI registry since September 2018. The organization lists Tara Lynette Jeannot, Chief Operations Officer, as its authorized official.

NPPES Registry Identity

NPI1730663790
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameLA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC.
Location Address1500 2ND AVEGold Hill, OR 97525-9728
Mailing Address931 Chevy WayMedford, OR 97504-4127 · (541) 535-6239 · Fax (541) 842-2212
Phone(541) 494-6818
Fax(541) 494-6816
Organization SubpartYes
Authorized OfficialTara Lynette JeannotChief Operations Officer · (541) 535-6239
Enumeration DateSeptember 17, 2018
Last NPPES UpdateJuly 15, 20192 updates tracked since enumeration
✔ NPI 1730663790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
1500 2ND AVE, Gold Hill, OR 97525
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Other Names 1

Doing Business AsLa Clinica School- Based Health Center At Patrick Elementary School

Other Identifiers 1

Medicaid022868OR

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREW SIMMONS RN
Registered Nurse
1500 2ND AVE
GOLD HILL, OR 97525
Jackson County (541) 535-6239
VICTORIA VERSTEEG
Counselor (Mental Health)
1500 2ND AVE
GOLD HILL, OR 97525
Jackson County (541) 494-6818
ANA L FOSTER RN
Registered Nurse
1500 2ND AVE
GOLD HILL, OR 97525
Jackson County (541) 494-6818

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is La Clinica Del Valle Family Health Care Center Inc.'s NPI number?

The NPI number for La Clinica Del Valle Family Health Care Center Inc. is 1730663790. It was assigned to this organization in the NPPES registry on September 17, 2018. The provider is doing business as La Clinica School- Based Health Center At Patrick Elementary School.

Where is La Clinica Del Valle Family Health Care Center Inc. located?

La Clinica Del Valle Family Health Care Center Inc. is located at 1500 2nd Ave, Gold Hill, OR 97525. The listed phone number is (541) 494-6818.

What is La Clinica Del Valle Family Health Care Center Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for La Clinica Del Valle Family Health Care Center Inc. was last updated on July 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.